Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,467.37 / $10,715.19	Facility		$354.81	$3,467.37	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $831.76	Professional		$234.42	$354.81	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,943.28	Facility		$954.99	$2,511.89	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $467.74	Professional		$204.17	$281.84	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $1,737.80	Facility		$229.09	$257.04	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $2,818.38	Facility		$407.38	$616.60	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $660.69	Professional		$245.47	$371.54	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $2,818.38	Facility		$407.38	$602.56	$2,818.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $616.60	Professional		$245.47	$363.08	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,073.80	Facility		$100.00	$100.00	$4,073.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $630.96	Professional		$223.87	$338.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $5,248.07	Facility		$676.08	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Professional		$213.80	$323.59	$512.86